pitting edema of +3 pitting edema of +1 less shortness of breath an increase in urine output of 250 mL/hr a decrease or absence of crackles in the lungs
The nurse is preparing to administer cefazolin to a client who is allergic to penicillin. The client states that penicillin causes him to itch and be slightly short of breath. Which response by the nurse is correct?
administer the cefazolin as ordered call the pharmacy to substitute another medication hold the medication and notify the health care provider give the client diphenhydramine and then administer the cefazolin
A client presents to the emergency room with severe pain in the upper right abdomen. The client is nauseated and has a temperature of 102.2°F. Which nursing action would be a priority at this time?
relieve pain obtain vital signs administer IV fluids prepare for surgery
A nurse is employed on an oncology unit. A 62-year-old client is admitted for surgical treatment of a meningioma. The nurse would anticipate modifying the environment for which symptom?
difficulty swallowing seizures poor concentration impaired mobility
A nurse is reviewing the laboratory reports prior to physician rounds. The serum calcium level of a client with hyperparathyroidism is 14.6 mg/dl. Which treatment should the nurse anticipate?
corticosteroids renal dialysis calcitonin intravenous bisphosphonates
The nurse is assessing a client with Parkinson’s disease. Which sign of primary motor symptom involvement would the nurse expect to observe?
resting tremor sleep disturbance constipation fatigue
A client has arterial blood gases drawn. The results are as follows: pH, 7.58; Pa CO2, 48 mm Hg; HCO3, 44 mEq/L, Base Excess, +13 mEq/L. Which condition is indicated?
respiratory alkalosis respiratory acidosis metabolic alkalosis metabolic acidosis
What physical activity is recommended for a school-age child with asthma?
distance running indoor swimming soccer basketball
Which nursing action is most appropriate to initially relieve pain related to a recent soft tissue injury?
administer an over-the-counter (OTC) medication for pain apply heat massage the area apply ice pack
While in a restaurant the nurse notices a woman clutching her throat. The woman is unable to speak. The nurse asks the woman if she’s choking, and she indicates yes. Which response by the nurse should be done first ?
establish an airway by tilting the chin back administer five quick chest compressions administer two rescue breaths perform the Heimlich maneuver